When administering a medication, a nurse should check the label on the drug container against the MAR (medication administration record) when removing the drug container from the client's medication drawer, when removing the drug from the
medication container, and: a. after showing the drug label to the client
b. after checking the drug container with a colleague
c. before calling the pharmacy
d. before returning the drug container to the client's medication drawer
D
A nurse determines the right drug for a client by comparing the entry on the medication administration record (MAR) against the order written by the health care provider. After determining that the entry is correct, the nurse selects the medication to be administered and compares the label on the medication container against the MAR entry at least three times: when removing the medication from its storage location, when removing the medication from its container, and before returning the medication to its storage location.
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The nurse understands that histamine, a naturally occurring substance in the body that is released in response to tissue damage, causes all the following symptoms except:
a. it dilates the arterioles to allow increased blood supply to the area. b. gastrointestinal upset. c. increased mucus production. d. itching.
The nurse is caring for a newborn infant whose mother is HBsAg-negative. The nurse expects to give the infant
a. hepatitis B immune globulin. b. hepatitis B immune globulin and hepatitis B vaccine 12 hours later. c. no vaccine. d. recombinant hepatitis B vaccine.
The nurse is going to assess the apical-radial pulse of a client with a cardiovascular disorder. Which rationale did the RN use to make this decision?
1. A forceful radial pulse is much too difficult to count correctly. 2. Both arteriole and venous sounds were heard simultaneously. 3. The pulse was bounding and easily obliterated. 4. The thrust of blood from the heart is too feeble for the wave to be felt at the peripheral pulse site.
Which action indicates the nurse is using a PICOT question to improve care for a patient?
a. Practices nursing based on the evidence presented in court b. Implements interventions based on scientific research c. Uses standardized care plans for all patients. d. Plans care based on tradition